RFA 9305 Attachment A Application Package.pdf

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |1. Cover Page – Att. A 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page < # > of <

Cover Page Flex Lending Lender Application

RFA #9305

(Request for Applications “RFA”)

APPLICANT INFORMATION:

Company: ________________ Address: ________________ Website: ________________ Phone: ________________ Application Fee Confirmation Number: ________________

APPLICANT SINGLE POINT OF CONTACT (SPC)* :

Name & Title: ________________ Email: ________________ Phone: ________________

OHCS FLEX SINGLE POINT OF CONTACT:

Angelica Jimenez Phone: 503.385.3624 Email: Angelica.Jimenez@HCS.Oregon.gov

INSTRUCTIONS: Please email application package to Procurement SPC:

Joshua Ratliff

Email: Joshua.ratliff@hcs.oregon.gov OHCS.Contracts@HCS.Oregon.gov

*Notice: In accordance with the RFA #9305 procurement process, and until the application is approved, only the OHCS Flex Single Point of Contact (SPC) and the Procurement SPC may communicate with the applicant’s above designated SPC.

Any unauthorized communication will result in denial of the application.

The State of Oregon promotes equal opportunity for all individuals without regard to age, color, disability, marital status, national origin, race, religion or creed, sex or gender, sexual orientation, or veteran status.

mailto:HCS.HomeownershipLending@HCS.Oregon.gov mailto:Angelica.Jimenez@HCS.Oregon.gov mailto:Joshua.ratliff@hcs.oregon.gov mailto:OHCS.Contracts@HCS.Oregon.gov

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |2. Application Submission Checklist – Att. B 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 3

Flex Lending Application Submission Checklist To apply for approval as an authorized Flex lender, complete the Flex Lending Application Packet (RFA #9305) and email the completed package to OHCS.Contracts@hcs.oregon.gov, referencing RFA #9305. Applications that do not include all required components will not be considered.

For inquiries, please contact our Single Point of Contact (SPC): Joshua Ratliff Email: Joshua.ratliff@hcs.oregon.gov

The following items must be included with the Application Packet using the following naming convention, in this stacking order:

(^) Indicates documents provided by OHCS, all other documents must be supplied by the lender.

☐ Application Packet

1. ☐ Cover Page (^) - Attachment A

2. ☐ Application Submission Checklist (^) - Attachment B (this form)

3. ☐ Application (^)

Note: Complete each step in order. Do not proceed to the next step until the current step is finished.

4. Forms:

a. ☐ Corporate Resolution – include Corporate Seal or Notarized (^) – Attachment C

b. ☐ Authorization Form (^) - signed by officer of the company and all owners with

10% or more ownership - Attachment D

c. ☐ Limited Irrevocable Power of Attorney (^) - Attachment E

d. ☐ Application Certification (^) - Attachment F

e. ☐ Bank Secrecy Act/Anti‐Money Laundering Certification (^) - Attachment G

f. ☐ Website Access Administrator Agreement (^) - Attachment H

g. ☐ W‐9 Request for Taxpayer Identification Number and

☐ Tax Affidavit (Affidavit of Compliance with Tax Laws) - Attachment I Found Here: https://www.irs.gov/pub/irs-pdf/fw9.pdf

h. ☐ Affiliate Questionnaire(s) (^) - Attachment J (if applicable)

5. Organization/Personnel Information:

a. ☐ Formation/Organization - Articles of Incorporation & By‐laws, LLC, Operating Agreement & Articles of Organization, Limited Partnership & LP Agreement, Bank Charter

b. ☐ Resumes for Key Personnel – attach resumes for personnel listed on Application, including Owners with >10% Ownership Interest

c. ☐ Organizational Chart mailto:HCS.HomeownershipLending@HCS.Oregon.gov mailto:OHCS.Contracts@hcs.oregon.gov mailto:Joshua.ratliff@hcs.oregon.gov https://www.irs.gov/pub/irs-pdf/fw9.pdf

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |2. Application Submission Checklist – Att. B 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 2 of 3

d. ☐ Financial Statements – previous two years audited financial statements, most recent quarterly, unaudited financial statements, not required for Federally Regulated Financial institutions

6. Branches/Loan Officers: Originating staff must be in Oregon or within 50 miles of the Oregon border

a. ☐ Branches - list of all branches doing business in Oregon, with branch name, branch address, branch web address, phone number

b. ☐ Loan Officers - list of all Loan Officers authorized by the company to originate loans with the department with name, branch location, branch address, direct phone number, email address, NMLS-ID

7. Licensing: Organization and loan officers must be licensed and approved to conduct business in the state of Oregon

a. ☐ Business Registry – copy of current Business Registry information from Oregon Secretary of State website for company and associated DBA’s Found Here: http://sos.oregon.gov/business/pages/register.aspx

8. Approvals/Delegations:

a. ☐ Agency Approval Letters from FNMA, FHLMC, FHA, VA, USDA, GNMA

b. ☐ Investor Scorecards ‐ for all Investors/Lenders most recent year-end scorecards

Note: Scorecards submitted must represent no less than 50% of total production

c. ☐ Mortgage Insurance Company Delegation Letters

d. ☐ HFA’s - list of all HFA’s with which you have a relationship, including address, webpage, contact name, phone number and email address

e. ☐ References for 3 Lenders, 1 Warehouse Line, 1 HFA (^) - Attachment K

9. Compliance & Quality Control (QC)

a. ☐ QC Policy & Procedures - Pre-Funding & Post Closing

b. ☐ QC Reports ‐ most recent two months Post Closing QC Audit Summary Report with Management’s Response to finding, dated within 120 days of origination

c. ☐ Compliance Findings - document material compliance findings with any Federal, State, regulatory agencies (including the CFPB) in the past five (5) years

10. Warehouse Line(s):

a. ☐ Warehouse Line of Credit Verification Form - required for each warehouse line (^) - Attachment L

b. ☐ Bailee Letter ‐ sample copy of Bailee Letter for each Warehouse Lender or Self‐ Funding Letter, (letter used to communicate wiring instructions and release security interest in loans purchased), as applicable.

11. Insurance & Bonding: copy of insurance declaration page showing all coverages. Note:

Investor losses must be covered in the amount of at least $300,000 and deductible cannot exceed the lesser of 5% of the face amount of the policy or $100,000

a. ☐ Errors & Omissions Insurance - $1,000,000 per occurrence. Annual aggregate limit shall not be less than $2,000,000 mailto:HCS.HomeownershipLending@HCS.Oregon.gov http://sos.oregon.gov/business/pages/register.aspx

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |2. Application Submission Checklist – Att. B 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 3 of 3

b. ☐ Fidelity Bond - investor losses must be covered in the amount of at least $300,000 and deductible cannot exceed the lesser of 5% of the face amount of the policy or $100,000

c. ☐ Proof of Workers Compensation - not less than $500,000 coverage

d. ☐ Commercial General Liability with OHCS as an additional insured - $1,000,000 per occurrence. Annual aggregate limit shall not be less than $2,000,000

12. Disclosures:

a. ☐ Legal Action - list any claims and/or litigation in process, convictions (excluding traffic violations), judgments, investigations or supervisory action by a regulator, agency, or any other entity, and any other contingent liabilities not shown in the financial statements. Include the present status and opinion of probable liability.

b. ☐ Repurchases & Indemnifications - letter of explanation for repurchase, including reason and origination date or demand letter from investor for all Repurchases & Indemnifications.

c. ☐ Conflicts of Interest - identify any conflict of interest that may arise as a result of business activities or ventures by your firm and associates of your firm, employees, or subcontractors as a result of any individuals’ status as a member of the board of directors of any organization likely to interact with OHCS.

13. Affidavit of Trade Secret - if Applicant believes any of its application is exempt from disclosure under Oregon Public Records Law (ORS 192.410 through 192.505), Applicant shall complete and submit the Affidavit of Trade Secret and a fully redacted version of its application, clearly identified as the redacted version (^) (if applicable)

(^) Indicates documents provided by OHCS, all other documents must be supplied by the lender.

Deliver the complete Application Package via email to: OHCS.Contracts@HCS.Oregon.gov

Via mail:

Oregon Housing & Community Services Attn: Joshua Ratliff RFA #9305 725 Summer Street NE Suite B Salem, Oregon 97301-1266

Incomplete Applications Will Not Be Considered for Approval mailto:OHCS.Contracts@HCS.Oregon.gov

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4a. Corporate Resolution – Att. C 2026.06

725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

Corporate Resolution

Corporate Resolution of: ____________________________________________________________________ (Name of Organization)

RESOLVED, that the President, any Executive Vice President, Senior Vice President, Vice President and any other person designated by the President in writing and delivered to the Secretary, (list all applicable titles to be given authority), of this corporation, or any one or more of them, be and each of them is, authorized and empowered in the name of and on behalf of this corporation and under its corporate seal, from time to time while these resolutions are in effect, to originate and sell mortgage loans to OHCS and to execute any and all agreements, documents and to furnish any information required or deemed necessary or proper by OHCS in connection with the foregoing.

Certification

I HEREBY CERTIFY that the foregoing is a true and correct copy of a resolution presented to and adopted by the Board of Directors of ________________________________________ on the __________ day of ___________________, ________ at which a quorum was present and voted, that such resolution is duly recorded in the minutes of book of this corporation and that such resolution remains in full force and effect as of the date hereof. I further certify that the following persons were duly elected or designated and are present incumbents of the respective offices set out after their names as of the date hereof:

(List all officers and designees with authority under the foregoing resolution)

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name: _________________________________________ Title: _____________________________________ Signature: ______________________________________ Date: __________________________

Name of Secretary: __________________________ Signature: __________________________________ Date: _____________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4b. Authorization Form – Att. D 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 2

Authorization Form **Must be Executed by all Owners with 10% or more Ownership**

PLEASE COMPLETE THE INFORMATION BELOW AND CERTIFY THE FOLLOWING:

I certify that I am duly authorized to complete this application and grant consent on behalf of the firm named herein for the purposes of establishing and maintaining a business relationship with OHCS. I certify all information contained in this application is true and correct in all respects. By signing below, I hereby give OHCS authorization to obtain and/or verify information from any source during this application process and once annually thereafter. The Department is also authorized to submit the name of the company and all employees of the company at any time for screening through any/all mortgage industry background database. The undersigned hereby releases, discharges and exonerates any person or entity providing information to the Department in connection with this application and any recipient of such information, including the Department or its representatives, from any and all liability of every nature and kind arising from or in connection with the furnishing, receipt, and review of such information.

Company Name:

Tax ID: Address:

Name: % Ownership:

(First & Last) Title: Phone:

Signature: Date:

Name: % Ownership:

(First & Last)

Title: Phone:

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4b. Authorization Form – Att. D 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 2 of 2

Title: Phone:

Signature: Date:

Name: % Ownership:

(First & Last)

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4c. Limited Irrevocable POA – Att. E 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 2

Limited Irrevocable Power of Attorney

___________________________________ (“Seller”) has sold or intends to sell certain one or more loans to OHCS (“Purchaser”) pursuant to that certain Loan Purchase Agreement dated (“Agreement”). Capitalized terms not otherwise defined shall have the meaning set forth in the Agreement.

Now, therefore, Seller does hereby irrevocably makes, constitutes, and appoints Purchase, and all of its officers and such employees as any of OHCS managers may designate from time to time, the true and lawful attorney-in-fact of Seller and Seller’s name, place and stead for the following limited purposes:

1. To execute, acknowledge, record and deliver to Purchaser any assignment of Mortgage or other document necessary to complete, correct or transfer to, or vest in Purchaser or to protect the right, title and interest of Purchaser in and to those loans;

2. To sign, endorse, receive and apply the proceeds of any checks or other instruments (made payable to the seller) received as payment with respect to the Loans after each related purchase;

3. To notify the Mortgagors’ insurers of the assignments of such Loans to Purchaser, and to request that all the loss payee designations be changed to Purchaser in the event of default by such Mortgagor;

and

4. To correct errors, where necessary, in documents for such Loans to ensure the proper perfection of Purchaser’s liens and security interests relating to such Loans.

This Limited Power of Attorney is coupled with an interest and is not revocable.

Seller grants to Purchaser as its attorney-in-fact full authority to act in any manner both proper and necessary to exercise the foregoing powers and ratifies every act that Purchase may lawfully perform in exercising powers by virtue thereof.

IN WITNESS WHEREOF, Seller has executed this Limited Irrevocable Power of Attorney this ___ day of ______________, 20___.

Authorized Printed Name: _________________________ Title: ________________ Authorized Signature: ____________________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4c. Limited Irrevocable POA – Att. E 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 2 of 2

STATE OF: ____________________

COUNTY OF: ____________________

On this, the ____ day of ______________ 20____, the foregoing instrument was acknowledged before me, a notary public in and for the State of ______________, by _____________________ , personally known to me, by me duly sworn, did say he/she is the _____________________ of __________________

Notary Public ________________________ My Commission Expires: ______________ SEAL

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4d. Application Certification – Att. F 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 2

Application Certification Applicant understands and accepts the requirements of this Request for Application #9305, (RFA).

By application submission, applicant agrees to be bound by the Mortgage Loan Purchase Agreement terms and conditions in Attachment B.

Applicant acknowledges receipt of any and all Addenda to this RFA.

If application is approved, applicant agrees to perform the work in the Mortgage Loan Purchase Agreement and follow all standards set forth in the Program Documents.

Under penalty of perjury, applicant certifies that applicant is aware of and complies with the requirements found in OAR 125-246-0330. Upon request of Agency, applicant shall provide supporting documentation.

Applicant does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, sex, disability, sexual orientation or national origin. Nor has Applicant or will Applicant discriminate against a subcontractor in the awarding of a subcontract because the subcontractor is:

a minority, women or emerging small business enterprise certified under ORS 200.055, or a business enterprise that is owned or controlled by or that employs a disabled veteran, as defined in

ORS 408.225

Applicant and its employees and agents are not included on the list titled “Specially Designated Nationals and Blocked Persons” maintained by the Office of Foreign Assets Control of the United States Department of the Treasury and currently found at:

https://www.treasury.gov/ofac/downloads/sdnlist.pdf

Applicant certifies that, to the best of its knowledge, there exists no actual or potential conflict between the business or economic interests of Applicant, its employees, or its agents, on the one hand, and the business or economic interests of the State, on the other hand, arising out of, or relating in any way to, the subject matter of the RFA. Applicant shall provide prompt written notification to the State of any change occurring with respect to Applicant’s business or interests which is reasonably likely to result in (or has resulted in) an actual or potential conflict between the business or economic interests of the Applicant and those of the State, arising out of, or relating in any way to, the subject matter of the RFA.

In its notice, Applicant will describe the nature of such actual or potential conflict of interest or remuneration in question in reasonable detail.

Applicant certifies that all contents of the Application (including any other forms or documentation, if required under this RFA) and this Application Certification Sheet, are truthful and accurate and have been prepared independently from all other Applicants, and without collusion, fraud, or other dishonesty.

https://www.treasury.gov/ofac/downloads/sdnlist.pdf

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4d. Application Certification – Att. F 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 2 of 2

Applicant understands that any statement or representation it makes, in response to this RFA, if determined to be false or fraudulent, a misrepresentation, or inaccurate because of the omission of material information could result in a "claim" {as defined by the Oregon False Claims Act, ORS 180.750(1)}, made under Application being a "false claim" {ORS 180.750(2)} subject to the Oregon False Claims Act, ORS 180.750 to 180.785, and to any liabilities or penalties associated with the making of a false claim under that Act.

Applicant acknowledges these certifications are in addition to any certifications required in the Application at the time of execution.

Authorized Signature: ________________________________________ Date: __________________ Print Name: ______________________________________________ Title: ______________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4e.Bank Secrecy Act/Anti-Money Laundering Att.G 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

Bank Secrecy Act/Anti-Money Laundering _________________________________________ (“Seller”) certifies to OHCS that the Seller understands its legal obligations under the Bank Secrecy Act and has adopted an Anti-Money Laundering Program that meets its obligations as outlined below and in the regulations:

1. The Seller’s governing body has approved and adopted an Anti-Money Laundering Program as required by 31 CFR Parts 1010 and 1029. The Anti-Money Laundering Program:

a. Includes and implements effective policies, procedures, and internal controls;

b. Designates a qualified security/compliance officer;

c. Requires initial and ongoing training for all employees; and

d. Includes an independent procedure for audits of the effectiveness and compliance of the Program.

2. The Seller has implemented a program or procedures to verify each customer’s identity and maintain the records used to verify the customer’s identity in compliance with the Bank Secrecy Act laws and implementing regulations.

3. The Seller is committed to complying with these requirements and has instructed employees that it is mandatory to adhere to these standards to prevent the use of the Seller’s and/or its products and services for money laundering or illegal purposes.

4. Upon request, the Seller will make any information and/or records required under the Bank Secrecy Act and implementing regulations available to OHCS, including the Seller’s Anti-Money Laundering Program and supporting documentation, Anti-Money Laundering training materials and training records, and release of information as allowed by state and federal regulators.

By signing below, I hereby certify that I have the authority to sign on behalf of the Seller and certify that the Seller has met and will continue to meet all of the responsibilities and obligations detailed above.

Authorized Signature: ________________________________________ Date: __________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4f. Website Access Admin Agreement – Att. H 2026.03 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 2

Website Access Administrator Agreement This Website Access Administrator Agreement (Agreement) is entered into by ____________________ (Lender) and OHCS. By its signature below, Lender hereby agrees with the following requirements with respect to Lender’s employees and officers (Administrator Parties) that have, will have, or anticipates having access to any of OHCS’s systems or data, required to perform certain services (Deliverables):

A. Lender shall not permit any Administrator Party to have access to any OHCS system or data, which is not related to the Deliverables being performed or provided;

B. Lender shall ensure all Administrator Parties have the appropriate access level within OHCS’s systems or data;

C. By granting access to any Administrator Party, Lender certifies that any Administrator Party working with OHCS data has undergone a background check, and that no adverse findings arose in such check;

D. Lender shall not allow, to the best of its ability, any individual Administrator Party to be involved in any way in any performance or provision of any Deliverables if such Administrator Party: (i) has been convicted of a crime or has agreed to or entered into a pretrial diversion or similar program in connection with (A) a dishonest act or a breach of trust, as stipulated Regulation H Part 1008 of the S.A.F.E. Mortgage Licensing Act;

E. Prior to any Administrator Party utilizing OHCS’s systems, Lender shall ensure that all Administrator Parties are all bound by the same or more restrictive confidentiality provisions as those contained in this Agreement;

F. Lender represents and warrants that Lender has, and will continue to have for so long as it has access to Nonpublic Personal Information (as defined by 15 U.S. Code §6809) or confidential information, adequate administrative, technical, and physical safeguards (i) to ensure the security and confidentiality of customer records and information; (ii) to protect against any anticipated threats or hazards to the security or integrity of such records; and (iii) to protect against unauthorized access to or use of such records or information which could result in substantial harm or inconvenience to any customer;

G. Lender shall immediately restrict and/or terminate access of Administrator Party to OHCS system or data, due to a role change, or termination, whereby the Administrator Party will no longer perform or provide Deliverables to OHCS.

H. Set forth in Exhibit A, attached, is a list of the authorized Website Access Administrators for Lender.

I. If a listed Website Access Administrator (Web Admin) in Exhibit A is no longer employed by Lender, a remaining Web Admin must immediately remove such employee’s access.

J. If a Web Admin in Exhibit A is removed, leaving only one remaining, such Web Admin must immediately appoint a new designee, so the Lender always has two Web Admins.

Authorized Signature: ________________________________________ Date: __________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4f. Website Access Admin Agreement – Att. H 2026.03 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 2 of 2

Website Access Administrator Exhibit A

Lender Name: _________________________________________

Please identify the Website Access Administrators (Web Admins) for your Lender. If additional Web Admins are required, please submit additional forms. The Web Admins will be responsible for managing online lender portal user authorization to set up and authorize additional employees for various access levels for access to OHCS online lender portal. In addition, the Web Admins will have the highest level of security access to the site for only loans associated to the Lender. A minimum of two Web Admins should be identified to establish your online lender portal access.

Web Admin Name:

Email Address:

Direct Phone:

Web Admin Name:

Email Address:

Direct Phone:

Website Access Administrators are responsible to maintain:

• Staff Training Certificates for online lender portal users

• Create and issue online lender portal credentials and permissions

• Assist with username and password resets for online lender portal users

• Distribute online portal information/updates to online lender portal users

The Lender named above is fully responsible for all reservations made by Web Admins and those authorized by Web Admins.

By signing below, I hereby certify that I have the authority to sign on behalf of the Lender and certify that the Lender acknowledges all the responsibilities and obligations detailed above.

Authorized Signature: ________________________________________ Date: __________________

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4g. Tax Affidavit – Att. I 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

Tax Affidavit (Affidavit of Compliance with Tax Laws)

_______________________________ (Affiant), being first duly sworn under oath, and representing ___________________________________________ [insert legal name of firm] (hereafter “Offeror”), hereby deposes and swears or affirms under penalty of perjury that:

1. I am an authorized agent of the Applicant (Seller), and I have full authority from the Applicant to submit this affidavit and accept the responsibilities stated herein.

2. I have knowledge regarding Applicant’s payment of taxes, and to the best of my knowledge, Applicant is not in violation of any Oregon tax laws, including, without limitation, ORS

305.620 and ORS chapters 316, 317 and 318.

3. Applicant shall provide written notice to Agency within two business days of any change to the Offeror’s status of tax law compliance.

IN WITNESS WHEREOF, Affiant has executed this Tax Affidavit this ______ day of ________________, 20_____.

Authorized Signer Name: _____________________________ Title: ________________ Authorized Signature: ____________________________

STATE OF: ____________________

COUNTY OF: ____________________

On this, the ____ day of ______________ 20____, the foregoing instrument was acknowledged before me, a notary public in and for the State of ______________, by _____________________ , personally known to me, by me duly sworn, did say he/she is the _____________________ of __________________

Notary Public ________________________ My Commission Expires: ______________ SEAL

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |4h. Affiliate Questionnaire – Att. J 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

Affiliate Questionnaire Affiliate Business Name: ____________________________________________

Detailed Ownership Structure: _______________________________________________________________

Date of Company Incorporation: _________

What type of business is conducted by the affiliate? ___________________________________________

Does the affiliate maintain its own office space? ☐ Yes ☐ No

If not, is the affiliate paying rent to the mortgage company? ☐ Yes ☐ No

Are there any shared employees? ☐ Yes ☐ No

If yes, what positions?

Are their customers shared customers (referrals)? ☐ Yes ☐ No

What percentage of the mortgage company's business flows through the affiliate? _________

What percentage of the affiliate's business flows through the mortgage company? _________

Note: If there are shared customers, attach a copy of the Affiliated Business Arrangement Disclosure

Have you met with a compliance attorney to ensure the affiliate is setup in compliance with RESPA and CFPB regulations? ☐ Yes ☐ No

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |8e. References – Att. K 2026.06 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

References To Be Completed by Applicant (Seller):

Applicant Name:

Reference Type: Lender Warehouse Line HFA

Reference Entity: __________________________________________________________________________

Physical Address: _________________________________________________________________________

Website Address: _________________________________________________________________________

Contact Name & Title: _____________________________________________________________________

Email: ___________________________________ Direct Phone Number: ___________________________

To Be Completed by OHCS:

Is the applicant in good standing? Always Mostly Sometimes No

Rate business relationship with applicant: Good Average Poor Unsatisfactory

Are there any outstanding issues with the applicant? ________________________________

Is there anything else you would like us to know? ______________________________________________

OHCS Reviewer Info: __________________________________________

Date Completed

Reviewer Signature

OHCS Homeownership Lending |Flex Lending |RFA #9305 Application |10a. Warehouse LOC Verification – Att. L 2026.03 725 Summer St. NE Suite B Salem, OR 97301 | PH: (503) 986.2000 | EMAIL: HCS.HomeownershipLending@HCS.Oregon.gov Page 1 of 1

Warehouse Line of Credit Verification Form Warehouse Lender Name: ___________________________________________________________________ Address: ___________________________________________________________________________________ Attention: _________________________ Email Address: ____________________ Phone: ______________ Line Amount: ____________________ Date Opened: ____________________ Applicant (Seller) Name: _________________________

Applicant (Seller) Authorization: We authorize the release of the information regarding our Warehouse Line of Credit to OHCS. A copy of this authorization is deemed valid and can be used at any time to obtain a Warehouse Line of Credit Verification.

Completed By: _____________________________________ Date: _________________ Signature

Printed Name: _____________________________________ Title: __________________

This Section to be completed by Warehouse Lender

The Mortgage Lender listed above has indicated that they have a Warehouse Line of Credit with your institution. We are requesting verification of the line of credit as follows:

Warehouse Line Amount: $ _________________________ Date Opened: _________________ Expiration/Renewal Date: _________________________ Renewal Requirements? Yes – Attach Explanation No Product Restrictions: Yes – Attach Restrictions No

Has Warehouse Line been managed satisfactorily? Yes No - Attach Explanation

Is line used for purposes other than mortgages? Yes – Attach Explanation No Renewal Requirements? Yes – Attach Explanation No

Completed By: _____________________________________ Date: _________________ Signature

Printed Name: _____________________________________ Title: __________________